Jessyca Lyn Gibson, B.S.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4408 Clearwood Dr
Sparks, NV 89436-6363

Phone

(775) 232-7989

Fax

(775) 622-4837

NPI assigned

Oct 6, 2010

Last updated

Oct 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1063721124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 CLEARWOOD DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366363",
            "telephone_number": "775-232-7989",
            "fax_number": "775-622-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 CLEARWOOD DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366363",
            "telephone_number": "775-232-7989",
            "fax_number": "775-622-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JESSYCA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maasoor Ghani, RN, FNP-BC
• Stephanie A Ghidossi, SLP
• Stephanie Ghossain McGlaughlin
• William Gibbs
• Nneka Gibney
• Kylie Gibson
• Abigail Giese
• Chase Giessner
• Warren S Gilbert, MD
• Alicia Renee Giles

• Social Worker in Sparks, NV
• Providers in Sparks, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.